Individual provider Active NPI

Karen Elizabeth Davis, FNP

  • Family Nurse Practitioner
  • Aledo, TX
National Provider Identifier
1649708108
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134023 Issued in TX
Practice address
109 Meadow Glen CT
Aledo, TX 76008-6918
Phone
(817) 975-8470
NPI assigned
May 30, 2017
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134023 TX Primary

Addresses

Primary practice location

109 Meadow Glen CT
Aledo, TX 76008-6918

Mailing address

109 Meadow Glen CT
Aledo, TX 76008-6918
Phone (817) 975-8470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000619 TX Practitioner - Nurse Practitioner 7517302565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Parker County Hospital DistrictGroup PAC ID 0840269163, 10 clinicians

Practice addresses (Care Compare)

1517 Texas Dr
Weatherford, TX 76086-6327
Phone (817) 458-3342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134023TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parker County Hospital District CurrentSince Jan 9, 2024 Accepting new patients
Parker County Hospital District Current Accepting new patients
Parker County Hospital District CurrentSince Jan 9, 2024 Accepting new patients

Locations

1517 Texas Dr
Weatherford, TX 76086
Phone (817) 458-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9877/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karen.davis.1@9877.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1649708108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MEADOW GLEN CT",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760086918",
            "telephone_number": "817-975-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MEADOW GLEN CT",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760086918",
            "telephone_number": "817-975-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

Verify at the official NPI Registry.